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Authors
González-Andrade, Fabricio https://orcid.org/0000-0002-2091-9095
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Article History
Received: 13 April 2026
Accepted: 7 July 2026
First Online: 9 July 2026
Declarations
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: The study received approval from the Committee on Ethics in Human Research (CEISH) from Carlos Andrade Marín Specialty Hospital (HCAM) on July 6, 2020, under protocol code IESS-HCAM-CEISH-2020-200-DF, in compliance with national and international research regulations.
: Not applicable. This manuscript does not contain identifying images or personal clinical details that could compromise participant anonymity.
: The authors declare no competing interests.
